Measuring quality of life in oncology: is it worthwhile? II. Experiences from the treatment of cancer
Corresponding Author
ALI MONTAZERI BSc, MPH
PhD candidate
Department of Public Health, University of Glasgow, Scotland, UK
address: Ali Montazeri, 2 Lilybank Gardens, Department of Public Health, University of Glasgow, Glasgow G12 8RZ, Scotland, UK.Search for more papers by this authorCHARLES R. GILLIS MD, FRCP (Glas), FFPHM
Director
West of Scotland Cancer Surveillance Unit, Ruchill Hospital, Glasgow, Scotland, UK
Search for more papers by this authorJAMES McEWEN FRCP(Glas), FFPHM
Professor and Head
Department of Public Health, University of Glasgow, Scotland, UK
Search for more papers by this authorCorresponding Author
ALI MONTAZERI BSc, MPH
PhD candidate
Department of Public Health, University of Glasgow, Scotland, UK
address: Ali Montazeri, 2 Lilybank Gardens, Department of Public Health, University of Glasgow, Glasgow G12 8RZ, Scotland, UK.Search for more papers by this authorCHARLES R. GILLIS MD, FRCP (Glas), FFPHM
Director
West of Scotland Cancer Surveillance Unit, Ruchill Hospital, Glasgow, Scotland, UK
Search for more papers by this authorJAMES McEWEN FRCP(Glas), FFPHM
Professor and Head
Department of Public Health, University of Glasgow, Scotland, UK
Search for more papers by this authorAbstract
This is the second part of the paper on quality of life in cancer patients which appeared in this journal (Montazeri et al., 1996a). In this part experiences from the treatment of cancer are given and relevant literature is reviewed. Several topics have been covered, including new directions and methods in assessing quality of life. It is argued that in a chronic condition, adding life to years instead of years to life is an important task. Adding years to life may prolong survival, but whether this is to the benefit of patients is debatable. Considering patients' views, their values and preferences may improve the quality of care and at the same time, reduce the psychological distress and physical discomfort in patients with cancer. It is concluded that quality of life measures have considerable potential in this challenging issue.
References
- Addington-Hall J. & McCarthy M. (1995) Dying from cancer: results of a national population-based investigation. Palliative Medicine, 9, 295–305.
- Albrecht G.L. (1994) Subjective health assessment. In: C. Jenkinson (ed.) Measuring health and medical outcomes, pp. 7–26. UCL Press, London .
- Bagenal F.S., Easton D.F., Harris E., Chilvers C.E.D. & McElwain T.J. (1990) Survival of patients with breast cancer attending Bristol Cancer Help Centre. Lancet, 336, 606–610.
- Barofsky I. & Sugarbaker P.H. (1990) Cancer.–In: B. Spilker (ed.) Quality of Life Assessment in Clinical Trials, pp. 419–439. Raven Press, New York .
- Belli G., Paci E., Miccinesi G. & Gamba A. (1996) Development of a QoL questionnaire oriented to individual values and preferences. Quality of Life Newsletter, 15, 3–5.
-
BMJ. (1994) Cancer becomes public health priority for Europe.
British Medical Journal, 308, 937.
10.1136/bmj.308.6934.937 Google Scholar
- Bowling A. (1995) What things are important in people's lives? A survey of the public's judgements to inform scales of health related quality of life. Social Science and Medicine, 41, 1447–1462.
- Cassileth B.R., Lusk E.J., Guerry D., Blake A.D., Walsh W.P., Kascius L. & Schultz D.J. (1991) Survival and quality of life among patients receiving unproven as compared with conventional cancer therapy. New England Journal of Medicine, 324, 1180–1185.
- Cella D.F., Bonomi A.E., Lloyd S.R., Tulsky D.S., Kaplan E. & Bonomi P. (1995) Reliability and validity of the Functional Assessment of Cancer Therapy-Lung (FACT-L) quality of life instrument. Lung Cancer, 12, 199–220.
- Coates A., Abraham S., Kaye S.B., Sowerbutts C.F., Fox R.M. & Tattersall M.H.N. (1983) On the receiving end-patient perception of the side-effects of cancer chemotherapy. European Journal of cancer Clinical Oncology, 19, 203–208.
- Coates A., Gebski V., Signorini D., Murray P., McNeil D., Byrne M. & Forbes J.F. (1992) Prognostic value of quality-of-life scores during chemotherapy for advanced breast cancer. Journal of Clinical Oncology, 10, 1833–1838.
- Crowther M.E., Corney R.H. & Shepherd J.H. (1994) Psychosexual implication of gynaecological cancer: talk about it. British Medical Journal, 308, 869–870.
- Dazord A. (1995) Quality of life assessment in medicine: presentation of a new instrument [Subjective Quality of Life Profile (SQLP)] and first results. European Respiratory Review, 5, 66–71.
- de Haes J.C.J.M., van Knippenberg F.C.F. & Nejit J.P. (1990) Measuring psychological and physical distress in cancer patients: structure and application of Rotterdam Symptom Checklist. British Journal of Cancer, 62, 1034–1038.
- de Haes J.C.J.M. & van Knippenberg F.C.E. (1985) The quality of life of cancer patients: a review of the literaqture. Social Science of Medicine, 20, 809–817.
- Downer S.M., Cody M.M., McCliskey P., Wilson P.D., Amott S.J., Lister T.A. & Slevin M.L. (1994) Pursuit and practice of complementary therapies by cancer patients receiving conventional treatment. British Medical Journal, 309, 86–89.
- Fallowfield L.J. (1993) Quality of life measurement in breast cancer. Journal of Royal Society of Medicine, 86, 10–12.
- Fallowfield L.J., Baum M. & Maguire G.P. (1986) Effects of breast conservation on psychological mobidity associated with diagnosis and treatment of early breast cancer. British Medical Journal, 293, 1331–1334.
- Fallowfield L.J., Hall A., Maguire G.P. & Baum M. (1990) Psychological outcomes of different treatment policies in women with early breast cancer outside a clinical trial. British Medical Journal, 301, 575–580.
- Fallowfield L.J., Hall A., Maguire P., Baum M. & A'Hern R.P. (1994) Psychological effects of being offered choice of surgery for breast cancer. British Medical Journal, 309, 448.
- Farquhar M. (1995) Elderly people's definitions of quality of life. Social Science and Medicine, 41, 1439–1446.
- Fitzpatrick R. (1994) Applications of health status measures. In: C. Jenkinson (ed.) Measuring Health and Medical Outcomes, pp. 27–41. UCI Press, London .
-
Ganz P.A.,
Lee J.J. &
Siau J. (1991) Quality of life assessment: an independent prognostic variable for survival in lung cancer.
Cancer, 67, 3131–3135.
10.1002/1097-0142(19910615)67:12<3131::AID-CNCR2820671232>3.0.CO;2-4 CAS PubMed Web of Science® Google Scholar
- Gelber R. & Goldhirsh A. (1986) A new endpoint for the assessment of adjuvant therapy in postmenopausal women with operable breast cancer. Journal of Clinical Oncology, 4, 1772–1779.
- Gill T.M. & Feinstein A.R. (1994) A critical appraisal of the quality of quality-of-life measurements. Journal of the American Medical Association, 272, 619–626.
- Goodinson S.M. & Singleton J. (1989) Quality of life: a critical review of current concepts, measures and their implications. International Journal of Nursing Studies, 26, 327–341.
- Greer S. (1984) The psychological dimension in cancer treatment. Social Science and Medicine, 18, 345–349.
- Greer S., Moorey S. & Baruch J. (1991) Evaluation of adjuvant psychological therapy for clinically referred cancer patients. British Journal of Cancer, 63, 257–260.
- Greer S, Moorey S., Baruch J.D.R., Watson M., Robertson B.M., Mason A. & Owden L. (1992) Adjuvant psychological therapy for patients with cancer: a prospective randomised trial. British Medical Journal, 304, 675–680.
- Guyatt G.H., Berman L.B., Townsend M., Pugsley S.Q. & Chambers L.W. (1987) A measure of quality of life for clinical trials in chronic lung disease. Thorax, 42, 773–778.
- Hauser S.P. (1993) Unproven methods in cancer treatment. Current Opinion in Oncology, 5, 646–654.
- Higginson I. (1993) Advanced cancer: aiming for the best in care Quality in Health Care, 2, 112–116.
- Katz S. (1987) The science of quality of life. Journal of Chronic Disease, 40, 459–463.
- Kiebert G.M., Stiggelbout A.M., Kievit J., Leer J-W.H., van de Velde C.J.H. & de Haes C.J.M. (1994) Choices in oncology: factors that influence patient's treatment preference. Quality of Life Research, 3, 175–182.
- McGee H.M., O'Boyle C.A., Hickey A., O'Malley K. & Joyce C.R.B. (1991) Assessing the quality of life of the individual: the SEIQoL with a healthy and a gastroenterology unit population. Psychological Medicine, 21, 749–759.
- McNeil B.J., Weichselbaum R. & Pauker S.G. (1981) Speech and survival: trade-offs between quality and quantity of life in laryngeal cancer. New England Journal of Medicine, 305, 982–987.
- Montazeri A. (1996) A descriptive study of a cancer support group. European Journal of Cancer Care, 5, 32–37.
- Montazeri A., Gillis C.R. & McEwen J. (1996a) Measuring quality of life in oncology: it is it worthwhile? I. Meaning, purposes, and controversies. European Journal of Cancer Care, 5, 159–167.
- Montazeri A., Gillis C.R. & McEwen J. (1996b) Quality of life in patients with lung cancer: 25 years on. Part I. Lung cancer in general. Clinical Oncology, (in press).
- Montazeri A., Gillis C.R. & McEwen J. (1996c) Quality of life in patients with lung cancer: 25 years on. Part II. Small and non-small cell lung cancer. Clinical Oncology, (in press).
- Montazeri A. McEwen J. & Gillis C.R. (1996d) Quality of life in patients with ovarian cancer: current state of research. Supportive Care in Cancer, 4, 169–179.
- Morris J. & Ingham R. (1988) Choice of surgery for early breast cancer: psychological considerations. Social Science and Medicine, 27, 1257–1262.
- Morris J., Cull A., Fallowfield L., Higginson I., Hopwood P., Slevin M., Watson M., Wilkinson S. (1992) British psychological oncology group: Seventh Annual Conference. British Journal of Cancer, 65, 136–139.
- Muzzin L.J., Anderson N.J., Figueredo A.T. & Gudelis S.O. (1994) The experience of cancer. Social Science and Medicine, 38, 1201–1208.
- O'Boyle C.A. (1992) Assessment of quality of life in surgery. British Journal of Surgery, 79, 395–398.
- O'Boyle C.A., McGee H., Hickey A., O'Malley K. & Joyce C.R.B. (1992) Individual quality of life in patients undergoing hip replacement. Lancet, 339, 1088–1091.
- O'Connor A. (1989) Effects of framing and level of probability on patients' preferences for cancer chemotherapy. Journal of Clinical Epidemiology, 42, 119–126.
- Olschewski M., Schulgen G., Schumacher M. & Altman D.G. (1994) Quality of life assessment in clinical cancer research. British Journal of Cancer, 70, 1–5.
- Osoba D. (1994) Lessons learned from measuring health-related quality of life in oncology. Journal of Clinical Oncology, 12, 608–616.
- Payen S.A. (1992) A study of quality of life in cancer patients receiving palliative chemotherapy. Social Science and Medicine, 35, 1505–1509.
- Petrou S. & Renton A. (1993) The QALY: a guide for the public health physician. Public Health, 107, 327–336.
- Rees G.J.G. (1991) Cancer treatment: deciding what we can afford. British Medical Journal, 302, 799–800.
- Ruta D.A. & Garratt A.M. (1994) Health status to quality of life measurement. In: C. Jenkinson (ed.) Measuring Health and Medical Outcomes, pp. 138–159. UCL Press, London .
- Ruta D.A., Garratt A.M., Leng M., Russell I. & MacDonald L.M. (1994) A new approach to the measurement of quality of life. The Patient-Generated Index. Medical Care, 32, 1109–1126.
- Selai C.E. & Rosser R.M. (1993) Good quality quality? Some methodological issues. Journal of Royal Society of Medicine, 86, 440–443.
- Slevin M.L. (1992) Quality of life: philosophical question or clinical reality British Medical Journal, 305, 466–469.
- Slevin M., Stubbs L., Plant H.J., Wilson P., Gregory W.M., Armes P.J. & Downer S.M. (1990) Attitudes to chemotherapy: comparing views of patients with cancer with those of doctors, nurses, and general public. British Medical Journal, 300, 1458–1460.
- Spiegelhalter D.J., Gore S.M., Fitzpatrick R., Fletcher A.E., Jones D.R. & Cox D.R. (1992) Quality of life measures in health care. III: resource allocation. British Medical Journal, 305, 1205–1209.
- Taylor E.J. (1993) Factors associated with meaning in life among people with recurrent cancer. Oncology Nursing Forum, 20, 1399–1407.
- van Knippenberg F.C.E.V., Out J.J., Tilanus H.W., Mud H.J., Hop W.C.J. & Verhage F. (1992) Quality of life in patients with resected oesophageal cancer. Social Science and Medicine, 35, 139–145.
- Weeks J. (1992) Quality of life assessment: performance status upstaged Journal of Clinical Oncology, 10, 1827–1829.